First Name:
Last Name:
Oswego ID Number:
Address:
City:
State:
Zip Code:
Phone Number:
E-mail Address:
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Select number of meals you would,like to purchase:
10 Block Meals - $125.00
20 Block Meals (includes $30LDD) - $250.00
50 Block Meals - (includes $100 LDD) - $650.00
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Credit Card
you will be transferred to our payment gateway once
you click "Place Order"
Visa
Master Card
Discover
American Express |